CMS Price Transparency Data

Blood test, liver function panel

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $92
Cash Discount Price: $152
vs. Medicare Baseline: 11.26x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.26x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $152 (1860%)

Insurance Median: $92 (1126%)

Cash: $152 (1860% of Medicare)

Ins. Median: $92 (1126% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1126% of the Medicare baseline (a markup of 1026%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$8 - $43	98%
Group Health Cooperative Of Eau Claire	$8 - $152	98%
Humana	$8 - $142	98%
Managed Health Services	$8 - $9	98%
Molina Healthcare Of Wi	$8 - $136	98%
My Choice	$8	98%
Network Health Plan	$8 - $134	98%
Quartz	$8 - $91	98%
Security Health Plan (Shp)	$8 - $92	98%
Trilogy	$8 - $144	98%
UnitedHealthcare	$8 - $29	98%
Veteran'S Administration (Va Ccn)	$8	98%
Icare	$9	110%
The Alliance	$81	991%
Amish/Mennonite	$88	1077%
Wps Health Insurance	$108	1322%
Cigna	$109 - $118	1334%
Health Payment Systems	$111	1359%
First Health	$136	1665%
Healtheos By Multiplan Inc.	$149 - $152	1824%
Health Partners	$152	1860%
Coventry	$154	1885%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.